河北医科大学学报 ›› 2022, Vol. 43 ›› Issue (3): 265-268,301.doi: 10.3969/j.issn.1007-3205.2022.03.004

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不同性质的肺部磨玻璃结节患者炎症和免疫因子水平的比较研究

  

  1. 江苏省江阴市人民医院呼吸与危重症医学科,江苏 江阴 214400
  • 出版日期:2022-03-25 发布日期:2022-04-14
  • 作者简介:李杰(1986-),男,江苏江阴人,江苏省江阴市人民医院主治医师,医学博士研究生,从事肺癌诊治研究。
  • 基金资助:
    国家自然科学基金青年项目(82000012)

A comparative study on the levels of inflammatory and immune factors in patients with pulmonary ground-glass nodules of different nature

  1. Department of Respiratory and Critical Care Medicine Peoples Hospital of Jiangyin City, Jiangsu Province, Jiangyin 214400, China

  • Online:2022-03-25 Published:2022-04-14

摘要:

目的 比较不同性质的肺部磨玻璃结节患者的炎症因子与免疫因子水平。

方法 选取肺部磨玻璃结节患者108例,根据病理结果分为肺癌组(A组)、良性多发磨玻璃结节组(B组)和良性单发磨玻璃结节组(C组)。检测三组患者肿瘤坏死因子α(tumor necrosis factor-α,TNF-α),白细胞介素1β(interleukin-1β,IL-1β),白细胞介素6interleukin-6IL-6)、白细胞介素10interleukin-10IL-10)含量和免疫系统T淋巴细胞亚群水平(CD3+CD4+CD8+CD4+/CD8+)以及免疫球蛋白Gimmunoglobulin GIgG),免疫球蛋白Aimmunoglobulin AIgA)、免疫球蛋白Mimmunoglobulin MIgM)的水平。

结果 A组、B组患者TNF-α、IL-1β、IL-6IL-10水平显著高于C组,CD3+CD4+CD8+CD4+/CD8+IgGIgAIgM水平低于C组,差异有统计学意义(P0.05)。A组与B组患者TNF-α、IL-1β、IL-6IL-10CD3+CD4+CD8+CD4+/CD8+IgGIgAIgM水平差异无统计学意义(P0.05)。

结论 恶性肺磨玻璃结节患者的炎症因子水平较高,免疫因子水平较低,检测肺磨玻璃结节患者的炎症及免疫因子水平可以作为鉴别结节性质的辅助手段。

关键词: 肺部磨玻璃结节, 炎症因子, 免疫因子

Abstract:

Objective To compare the levels of inflammatory factors and immune factors in patients with pulmonary ground-glass nodules(GGN) of different nature.

Methods In total, 108 patients with pulmonary GGN were selected and divided into lung cancer group(Group A), benign diffuse GGN group(Group B) and benign solitary GGN group(Group C) according to the pathological results. Tumor necrosis factor-α(TNF-α), interleukin-1β(IL-1β), interleukin-6(IL-6), and interleukin-10(IL-10) levels as well as immune system T lymphocyte subgroup levels(CD3+, CD4+, CD8+ and CD4+/CD8+) and immunoglobulin G(IgG), immunoglobulin A(IgA), immunoglobulin M(IgM) levels were detected in the three groups.

Results The levels of TNF-α, IL-1β, IL-6, and IL-10 in groups A and B were significantly higher than those in group C, while the levels of CD3+, CD4+, CD8+, CD4+/CD8+, IgG, IgA and IgM were lower than those in group C, suggesting significant difference(P0.05). There were no significant differences in the levels of TNF-α, IL-1β, IL-6, IL-10, CD3+, CD4+, CD8+, CD4+/CD8+, IgG, IgA and IgM between group A and group B(P0.05).

Conclusion  Patients with malignant pulmonary GGN have higher levels of inflammatory factors and lower levels of immune factors. Detection of inflammatory and immune factor levels in patients with pulmonary GGN may be used as an auxiliary means to identify the nature of the nodules.

Key words: pulmonary ground-glass nodules, inflammatory factors, immune factors